NPI | 1588075212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN187425) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN187425) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2025-06-04 |